Individual
AMY L HALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 SUPERIOR AVE STE J, MUNSTER, IN 46321-4038
(219) 934-4080
(219) 934-4075
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28238472A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011794A
IN
Other
Enumeration date
08/24/2021
Last updated
08/10/2023
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